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1999/2000 _ _ _ _ _ _ - -,- - -'-' ------.--i- County of Collier CLERK OF THE CIRClJlT COURT BRANCH OFFICES: GOLDEN GATE 4839 GOLDEN GATE PARKWAY COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P,O. BOX 413044 NAPLES. FLORIDA 33941-3044 GREENTREE SHOPPING CENTER 2386 IMMOKALEE ROAD IMMOKALEE 101 S. FIRST STREET Dwight E. Brock Clerk MARCO ISLAND 1040 WINTERBERRY DRIVE OFFICIAL RECEIPT When Validated I. ,,_;-2/~ B\l . ./ /.. ',Y' .::.--...-.---. -f~' t, RECEIPT: :-"3;1.:): Pf:'~\DF;.' ',: REF: DEPT: '. COLLIER COUNTY 3301 Tamiami Trail East . . Naples I Florida 34112 NAME Jason H. Korn BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM DAT~1/16/99 BUSINESS ADDRESS Cummings & Lockwood 3001 Tamiami Trail North Naples, FL 34103 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Le]y Barefoot Beach Property Own~rs. Association, Inc. 1) Lely Barefoot Beach Master Assoclatlo~ Inc. One Lely Beach Boulevard Bonita Springs, FL 34134 2) Edward G. Martin 4387 Butterfly Orchid Lane Naples, FL 34119 ATTACH IDJDITIONAL SHEETS STATE OF FLOR:DA COUNTY OF COLI~IER The foregoing registration was sworn to and subscribed before me on this the \~.Jt/r.. day of November, 199~ by Jason H. Korn who is personally known to me ~~~~ HX~and who did take an oath. ~==='"'' By'~~bubliC Please Note: 1) Failure to renew this registration by the renewal date of October 1st will result in the placement of this registrant on a "status unkn,own" list. 2) If one wishes to revoke this registration, a "Lobbyist Withdrawal" form must be filed with the Clerk to the Board. 3) Annual Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22